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. 2021 Jan 2;11(1):56.
doi: 10.3390/diagnostics11010056.

Coexistence of Common Pathologies of the Cardiovascular System in a Patient with Pain in the Right Lower Limb

Paweł Gać  1   2 , Martyna Hajac  2 , Piotr Macek  3 , Rafał Poręba  3
Affiliations

Coexistence of Common Pathologies of the Cardiovascular System in a Patient with Pain in the Right Lower Limb

Paweł Gać et al. Diagnostics (Basel). .

Abstract

Deep vein thrombosis and pulmonary embolism, aortic aneurysm and aortic dissection, as well as peripheral arterial atherosclerosis, are frequently diagnosed vascular disorders. In this paper, the authors present the case of coexistence of common pathologies of the cardiovascular system in a patient with pain in the right lower limb. The presented images provide a didactically valuable overview of serious cardiovascular pathologies. This article highlights the value of computed tomography angiography in diagnosis of cardiovascular life-threatening conditions, especially as a result of proper medical interview and physical examination.

Keywords: aortic aneurysm; aortic dissection; computed tomography angiography; deep vein thrombosis; peripheral arterial atherosclerosis; pulmonary embolism.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Computed tomography angiography images: (a) dilation of the right and left pulmonary arteries with a borderline width of the pulmonary trunk; (b) left pulmonary artery filling defect suggesting presence of embolic material; (c) non-uniform aortic density suggesting acute aortic syndrome; (d) aneurysm of the ascending aorta, aortic arch and proximal part of the descending aorta; (e) aortic aneurysm with massive parietal thrombi/aortic aneurysm with chronic dissection and clotting of the supposedly dissected canal; (f) angular (Gothic) aortic arch; (g) stenosis of the proximal section of the superior mesenteric artery; (h) occlusion of the proximal section of the right superficial femoral artery; (i) filling defects in the veins of the right iliac axis that is most probably a thrombotic material.
Figure 1
Figure 1
Computed tomography angiography images: (a) dilation of the right and left pulmonary arteries with a borderline width of the pulmonary trunk; (b) left pulmonary artery filling defect suggesting presence of embolic material; (c) non-uniform aortic density suggesting acute aortic syndrome; (d) aneurysm of the ascending aorta, aortic arch and proximal part of the descending aorta; (e) aortic aneurysm with massive parietal thrombi/aortic aneurysm with chronic dissection and clotting of the supposedly dissected canal; (f) angular (Gothic) aortic arch; (g) stenosis of the proximal section of the superior mesenteric artery; (h) occlusion of the proximal section of the right superficial femoral artery; (i) filling defects in the veins of the right iliac axis that is most probably a thrombotic material.
Figure 1
Figure 1
Computed tomography angiography images: (a) dilation of the right and left pulmonary arteries with a borderline width of the pulmonary trunk; (b) left pulmonary artery filling defect suggesting presence of embolic material; (c) non-uniform aortic density suggesting acute aortic syndrome; (d) aneurysm of the ascending aorta, aortic arch and proximal part of the descending aorta; (e) aortic aneurysm with massive parietal thrombi/aortic aneurysm with chronic dissection and clotting of the supposedly dissected canal; (f) angular (Gothic) aortic arch; (g) stenosis of the proximal section of the superior mesenteric artery; (h) occlusion of the proximal section of the right superficial femoral artery; (i) filling defects in the veins of the right iliac axis that is most probably a thrombotic material.
See this image and copyright information in PMC

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